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Related Experiment Videos

One monitored case of sudden death.

L Gould, C Gopalaswamy, F Chandy

    Pacing and Clinical Electrophysiology : PACE
    |March 1, 1983
    PubMed
    Summary

    A 90-year-old patient experienced a fatal cardiac arrest during Holter monitoring. Severe bradycardia initiated the fatal cardiac dysrhythmia, leading to ventricular fibrillation and cardiac standstill.

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    Area of Science:

    • Cardiology
    • Electrophysiology
    • Geriatric Medicine

    Background:

    • Syncope evaluation in the elderly is crucial.
    • Holter monitoring is a standard diagnostic tool for arrhythmias.
    • Sudden cardiac death (SCD) remains a significant concern in older adults.

    Observation:

    • A 90-year-old female underwent Holter monitoring for syncope.
    • The patient experienced a fatal cardiac arrest during the monitoring period.
    • The event was captured in real-time by the Holter monitor.

    Findings:

    • The initiating fatal dysrhythmia was severe bradycardia.
    • Bradycardia progressed to ventricular tachycardia and ventricular fibrillation.
    • The sequence culminated in cardiac standstill, indicating asystole.

    Implications:

    • This case highlights the potential for rapid deterioration from bradycardia to fatal arrhythmias in the elderly.
    • Real-time Holter monitoring can capture critical, life-threatening events.
    • Understanding the sequence of dysrhythmias is vital for potential interventions and risk stratification in geriatric syncope patients.

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